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Co-payment for unfunded additional care in publicly funded health care systems: ethical issues

Färdow, Joakim LU orcid ; Broström, Linus LU and Johansson, Mats LU orcid (2019) In Journal of Bioethical Inquiry 16. p.515-524
Abstract
The burdens of resource constraints in publicly funded healthcare systems urge decision makers in countries like Sweden, Norway and the UK to find new financial solutions. One proposal that has been put forward is co-payment—a financial model where some treatment or care is made available to patients who are willing and able to pay the costs that exceed the available alternatives fully covered by public means. Co-payment of this sort has been associated with various ethical concerns. These range from worries that it has a negative impact on patients' wellbeing and on health care institutions, to fears that co-payment is in conflict with core values of publicly funded health care systems. This article provides an overview of the main... (More)
The burdens of resource constraints in publicly funded healthcare systems urge decision makers in countries like Sweden, Norway and the UK to find new financial solutions. One proposal that has been put forward is co-payment—a financial model where some treatment or care is made available to patients who are willing and able to pay the costs that exceed the available alternatives fully covered by public means. Co-payment of this sort has been associated with various ethical concerns. These range from worries that it has a negative impact on patients' wellbeing and on health care institutions, to fears that co-payment is in conflict with core values of publicly funded health care systems. This article provides an overview of the main ethical issues associated with co-payment, and ethical arguments both in support of and against it will be presented and analyzed. (Less)
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author
; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Journal of Bioethical Inquiry
volume
16
pages
515 - 524
publisher
Springer
external identifiers
  • scopus:85068113173
ISSN
1176-7529
DOI
10.1007/s11673-019-09924-2
language
English
LU publication?
yes
id
03b25fb6-ae12-4661-be10-37521a2c657d
date added to LUP
2019-06-12 13:52:02
date last changed
2024-03-04 04:11:12
@article{03b25fb6-ae12-4661-be10-37521a2c657d,
  abstract     = {{The burdens of resource constraints in publicly funded healthcare systems urge decision makers in countries like Sweden, Norway and the UK to find new financial solutions. One proposal that has been put forward is co-payment—a financial model where some treatment or care is made available to patients who are willing and able to pay the costs that exceed the available alternatives fully covered by public means. Co-payment of this sort has been associated with various ethical concerns. These range from worries that it has a negative impact on patients' wellbeing and on health care institutions, to fears that co-payment is in conflict with core values of publicly funded health care systems. This article provides an overview of the main ethical issues associated with co-payment, and ethical arguments both in support of and against it will be presented and analyzed.}},
  author       = {{Färdow, Joakim and Broström, Linus and Johansson, Mats}},
  issn         = {{1176-7529}},
  language     = {{eng}},
  pages        = {{515--524}},
  publisher    = {{Springer}},
  series       = {{Journal of Bioethical Inquiry}},
  title        = {{Co-payment for unfunded additional care in publicly funded health care systems: ethical issues}},
  url          = {{http://dx.doi.org/10.1007/s11673-019-09924-2}},
  doi          = {{10.1007/s11673-019-09924-2}},
  volume       = {{16}},
  year         = {{2019}},
}